NPI age
13 years
Enumerated 2013-05-21
● Active Type 2 · Organization
Pediatric Smile Studio
Pediatric Smile Studio is 1 of 539 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Buckle
Dentist
Last NPPES update
2013-05-21
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
13 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-05Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
2526 Shallowford Rd, Suite C
Marietta, GA 300663053
Mailing address
2526 Shallowford Rd, Suite C
Marietta, GA 300663053
Authorized official
Eileen Buckle, DDS
Dentist
📞 6789825130
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Gerald Kraus, D.C. Chiropractor NPI 1487852778
- Walter Lewis, DDS Dentist NPI 1780848788
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003108300 |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.